Healthcare Provider Details

I. General information

NPI: 1982957387
Provider Name (Legal Business Name): AREA AGENCY ON AGING OF PASCO-PINELLAS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2012
Last Update Date: 12/18/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9549 KOGER BLVD. SUITE 100
ST PETERSBURG FL
33702-2455
US

IV. Provider business mailing address

9549 KOGER BLVD. SUITE 100
ST PETERSBURG FL
33702-2455
US

V. Phone/Fax

Practice location:
  • Phone: 727-570-9696
  • Fax: 727-217-7733
Mailing address:
  • Phone: 727-570-9696
  • Fax: 727-217-7733

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: ANN MARIE WINTER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 727-570-9696